Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $6,918.31	Facility		$630.96	$2,511.89	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $741.31	Professional		$208.93	$309.03	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $407.38	Professional		$181.97	$208.93	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $8,511.38	Facility		$2,290.87	$4,365.16	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $338.84	Professional		$199.53	$234.42	$338.84
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,162.28 / $7,079.46	Facility		$407.38	$3,162.28	$7,079.46
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $181.97	Professional		$104.71	$138.04	$181.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,754.23 / $2,754.23	Facility		$199.53	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,905.46 / $2,290.87	Facility		$371.54	$1,905.46	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $676.08	Professional		$229.09	$380.19	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $19,498.45 / $19,498.45	Facility		$8,912.51	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $1,778.28	Facility		$218.78	$426.58	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $562.34	Professional		$208.93	$295.12	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $575.44 / $870.96	Professional		$302.00	$575.44	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $691.83	Facility		$218.78	$380.19	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $645.65	Professional		$218.78	$380.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $549.54	Professional		$199.53	$323.59	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $245.47	Professional		$169.82	$213.80	$245.47